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Evaluation of Care Providers' Attitude Toward Perinatal Palliative Care and Its Challenges in the Selected Teaching Hospitals of Tehran in 2019 Publisher



Mohammadi A1 ; Tahmasebi M2 ; Mojen LK3 ; Rassouli M4 ; Ashrafizadeh H5
Authors
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Authors Affiliations
  1. 1. Department of Paediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Iran
  2. 2. Department of Radiotherapy and Oncology, Cancer Institute, Tehran University of Medical Sciences, Iran
  3. 3. Department of Medical-Surgical Nursing, Paediatric Congenital Hematologic Disorders Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Iran
  4. 4. Cancer Research Center, Department of Paediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Department of Medical-Surgical nursing, Nursing and Midwifery School, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Source: Indian Journal of Palliative Care Published:2021


Abstract

Objectives: The present study aims to determine the attitudes of care providers including obstetricians, paediatricians and midwives working in perinatal, obstetric and neonatal intensive care unit (NICU) wards of the selected teaching hospitals in Tehran in 2019. In addition, the challenges of providing palliative care from the perspective of these individuals have been examined. Materials and Methods: In this descriptive study, the research population was selected through convenience sampling based on the inclusion criteria. To assess care providers' attitude toward the perinatal palliative care and the challenges of its implementation, in addition to the questionnaire of demographic characteristics, a researcher-made questionnaire was also used. Results: Most of the care providers (90.5%) believed that parents should be involved in decision-making to select the treatment type. Most of the care providers (90%) believed that the lack of prepared infrastructures is one of the major challenges in providing these types of care. Conclusion: Care providers have almost positive attitudes toward the various dimensions of providing perinatal palliative care, but it has not been properly implemented yet due to the insufficient knowledge of this type of care, the lack of required infrastructures (appropriate conditions in NICUs to provide this type of care, the sufficient number of staff and experts in this field), as well as the health authorities' neglecting this type of care. © 2021 Wolters Kluwer Medknow Publications. All rights reserved.